HomeMy WebLinkAboutX2019-0107 - PermitsCity of Newport Beach - Building Division, *X2019-0107*
391
COMB Permit: X2019-0107
No of Stories:
4
No of Units :
0
Bldg Height:
100 Civic Center Drive, Newport Beach, CA 92660
Bldg Sprinklers:
Project NO : 0079-2019
H
,g Permit Counter Phone (949)644-3288
Left:.
`
Inspection Requests Phone (949)644-3255
$0.00
Building Permit Fee:
$1,288.00
Fire Hazard Zone : N
Plan Check Fee: $1,120.56
Issued Date: 72019
cag
e Combination Type - CIP ELEC MECH PLUM
$0.00
Investigation Fee:
$0.00
$0.00
Record Management:
:
Inspection Arearea :. 7
Energy Compliance:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address:
4685 MACARTHUR CT NB St: 1 FI: 2
Disabled Access:
1
Description
COMM 2ND FLR RESTROOM UPGRADES 391 SF
$0.00
1'0.. `
C
,
Legal Desc :
P BK 196 PG 40 PAR 1 -
,
IR
9
Owner:
IRVINE CO Contractor: REDHAWK BUILDERS INC
Architect:
MORFORD PAUL
Address:.
550 NEWPORT CENTER DR Address: 200 TECHNOLOGY STE L
Address:
4675 MACARTHUR CT #100
NEWPORT BEACH, CA 92660 IRVINE CA 92618
NEWPORT BEACH CA 92660
Phone:
Phone: 949-754-9050
Phone:
949.863-9434. State Lic:C019058
Applicant:
YAM MARK Con State Lie: 692901
Engineer:
Address:
392 LEMAY CT tic Expire: . 1 013112 01 9
Address:
....
ORANGE, CA 92867 Bus Lie: BT30027314
°
.....
Phone:..
Lie Exp Date: 04130/2019
Phone:
State Lie: °
..626-757-2320
•°. °:.
a
Code Edit:
2016 Worker's Compensation Insurance
Designer.
° ° • ` `
.Type of Construction: I -A -SPR Carrier: INS OF THE WEST
Address:
O D S
Occupancy Group:.. B
Added /New sq.ft. Bldg:
391
Added /New sq. ft. Garage: 0
No of Stories:
4
No of Units :
0
Bldg Height:
0
Bldg Sprinklers:
Y
General Service
Flood Zone:
Left:.
Construction Valuation:
$120.000.00
$0.00
Building Permit Fee:
$1,288.00
Fire Hazard Zone : N
Plan Check Fee: $1,120.56
$0.00
Overtime Plan Ck:
$0.00
$0.00
Investigation Fee:
$0.00
$0.00
Record Management:
$22.00
Energy Compliance:
$84.00
CA Seismic Safety:
$0.00
Disabled Access:
$120.00
Hazardous Mat
$0.00
Building Green Fee:
$5.00
TOTAL FEE: $/49E
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Policy No:
WSD5031143
$40.00
.Expire:
0910112019
Phone:
Building Setbacks
Rear: I
Special Conditions:
$0.00
Front:
General Service
$0.00
Left:.
$0.00
Right:
$0.00
Use 7nne:
Parking Snaces: 0
Fire Hazard Zone : N
Excise Tax:
Additional Fee
Grading Bonds Fee:.
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee
Electrical %:
::-Mechanical %:
Plumb] g %:
i
r
$0.00
Planning Department -
$40.00
$0.00
Plan check Fee
Fire Plan Rev
$0.00
Fair Share
$0.00
$0.00
SJH Trans t
General Service
$0.00
In -lieu Housing Fee
$0.00
Public Works Department -
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
$337.20
San Dist:
$0.00
$264.94
NMUSD Fee:
$0.00
$216.77
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,745.55 Fee Due at Permit Issuance : $1,752.92
PUBLIC WORKS APPROVi
PLAN CHECK BY:
APPROVAL TO ISSUE:
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Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00-
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,745.55 Fee Due at Permit Issuance : $1,752.92
PUBLIC WORKS APPROVi
PLAN CHECK BY:
APPROVAL TO ISSUE:
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OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ' ' f the Business and Profes 'ltins� (i� Ii full force
and effect. W&IMS Glass License No Date b Contractor Signature
60
WORKERS' MUPENSATION DECLARATION
A'ARMFrp: FAILLWE TO SOCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSRTION! DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
14>ere4 affirm urder penalty of perjury one of the following declarations:
rrT have and iv44muintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
.nce of the wdfk for which this permit is issued. Policy No.
and Virmaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Zr and'policy number are:
/iS Policy Number Expiration Date
0
Ihoeriffy that, iry tyre perform of he wo k for e9hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
e6 if l should b cdj )�sub'
o t o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.�� J�
signature of Applican �i
IECLARATION RE R G C NSTRUCTION LENDING AGENCY
hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided irorrect.
I agree to comply with all applicable city and county orq?anceVAno state laws relating to building construction. yyy��T
I authorize representatives of this city or cotet�y to a er nt(iie�.property for inspection purposes.
innahlre of Prnnartv Owner or Aufhnrized Anenf 7� �(// / Print Prooertv Owner's or Authorized Aaent's Name
ACTION DATE BY I 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
NOTIFICATION TO
PERMIT EXTENDED
I I
LIAQMD
PERMITFINAL
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ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: